#United States #Dayton #Health Care #CareSource #CMS Rating

CareSource Ohio Achieves 4.5 Star Quality Rating from CMS

CareSource Ohio has recently received a notable distinction, being awarded a score of 4.5 out of 5 stars by the Centers for Medicare & Medicaid Services (CMS) for its quality in healthcare services. This achievement places CareSource among the premier health plans nationwide, especially in catering to members with intricate healthcare needs. It's significant to note that only a mere 15% of health plans across the United States have attained such a level of recognition, highlighting the excellence of CareSource’s offerings.

The CMS Star Ratings system evaluates health plans using a variety of quality metrics, allowing Medicare-eligible individuals and their families to discern the quality levels of health and drug plans to make informed decisions that fit their specific healthcare needs. The evaluation considered various parameters, and CareSource’s high rating attests to its robust commitment to delivering superior care to its members.

Dave Thomas, the Ohio Market President for CareSource, expressed gratitude towards the dedicated team for their relentless pursuit of excellence in care coordination. He stated, "This recognition underscores our unwavering commitment to the health and well-being of our members in Ohio. I am grateful for our dedicated team, who are passionate about delivering exceptional care to our members. Our 4.5-star rating reflects CareSource's excellence in care coordination and our ongoing efforts to address the medical, social, and behavioral health needs of those we serve."

The Dual Eligible Special Needs Plan (D-SNP) from CareSource Ohio caters to over 8,400 members, most of whom are either disabled or enrolled in both Medicaid and Medicare. The improvements recognized in the latest Star ratings point towards significant strides in member satisfaction, operational efficiency, and overall care quality. CareSource garnered the top rating in member experience and satisfaction regarding both health and drug plans. Additionally, advancements were noted in medication adherence among diabetic patients, underscoring the effectiveness of their healthcare strategies.

Notably, the organization has improved numerous metrics related to healthcare efficiency, including reduced hospital readmission rates and boosted member retention. Earlier in 2025, CareSource joined forces with Commonwealth Care Alliance (CCA), which also secured an impressive 4-star rating for its Massachusetts Senior Care Options (SCO) plan, targeted at seniors eligible for both Medicare and Medicaid. This strategic alliance emphasizes CareSource’s mission to tailor healthcare solutions for individuals with varying needs.

Plans achieving higher star ratings, including those of CareSource and CCA, are afforded additional financial incentives. These incentives empower these organizations further to enhance health outcomes and implement innovative solutions within their care models. As the healthcare landscape continues to evolve, these recognitions highlight the importance of quality care in empowering individuals and families to make educated healthcare choices.

For more information about CareSource’s healthcare offerings and its dedication to improving lives through innovative programs, visit www.caresource.com.

About CareSource

CareSource is a nonprofit, nationally recognized managed care organization with over two million members. The organization administers one of the nation’s largest Medicaid managed care plans, offering comprehensive health insurance, including products for Medicaid, the Health Insurance Marketplace, and Medicare. With a mission-driven approach, CareSource is pioneering a transformation in healthcare through programs designed to address social determinants of health, prevention, and improved access to care, thus ensuring higher quality outcomes for its members.